Individual
SORIM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 N PINE ST STE N, DERIDDER, LA 70634-2830
(337) 226-5007
Mailing address
1118 N PINE ST STE N, DERIDDER, LA 70634-2830
(337) 226-5007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9445
LA
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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